A 30-year-old at 28 weeks gestation is in a rollover collision. She has abdominal pain, BP 98/60, HR 118, fetal heart 110, and the trauma team is

Question

A 30-year-old at 28 weeks gestation is in a rollover collision. She has abdominal pain, BP 98/60, HR 118, fetal heart 110, and the trauma team is concerned for intra-abdominal injury. What is the most appropriate next step?

Accepted Answer

Prioritise maternal resuscitation, left uterine displacement, indicated CT imaging, and obstetric involvement

Answer

Avoid CT imaging because pregnancy makes radiation unacceptable

Answer

Discharge if fetal heart tones are present

Answer

Use fetal monitoring as the primary resuscitation endpoint

Answer

Perform emergency caesarean before maternal assessment

Pregnant trauma — RCPSC EM MCQ

A 30-year-old at 28 weeks gestation is in a rollover collision. She has abdominal pain, BP 98/60, HR 118, fetal heart 110, and the trauma team is concerned for intra-abdominal injury. What is the most appropriate next step?